ACMPE ACMPE Quality Improvement and Compliance 2

Question 1

Which federal law governs the submission of false claims to Medicare and Medicaid and exposes violators to significant civil penalties?

Accepted Answer

False Claims Act

Answer

The False Claims Act imposes civil liability on individuals and organizations that knowingly submit fraudulent claims to federal healthcare programs.

Question 2

In a medical practice, a root cause analysis (RCA) is primarily used to investigate which type of event?

Accepted Answer

Sentinel events or serious adverse outcomes

Answer

RCA is a structured process used to identify the underlying system failures that contribute to sentinel events and serious adverse patient outcomes.

Question 3

Which quality indicator measures the proportion of patients who receive a recommended preventive service or treatment per established clinical guidelines?

Accepted Answer

Process measure

Answer

Process measures assess whether recommended clinical actions (e.g., screenings, vaccinations) are delivered to eligible patients.

Question 4

Under OSHA's Bloodborne Pathogens Standard, medical practices must offer which vaccine to employees with occupational exposure risk at no cost?

Accepted Answer

Hepatitis B vaccine

Answer

OSHA requires employers to offer the hepatitis B vaccine series at no cost to employees with occupational exposure to bloodborne pathogens.

Question 5

Which CMS quality payment program rewards eligible clinicians based on performance in quality, cost, improvement activities, and promoting interoperability?

Accepted Answer

Merit-Based Incentive Payment System (MIPS)

Answer

MIPS consolidates prior CMS quality reporting programs and adjusts Medicare payments based on composite performance scores.

ACMPE - American College of Medical Practice Executives Practice Test

ACMPE - American College of Medical Practice Executives Practice Test

ACMPE ACMPE Quality Improvement and Compliance 2